HomeMy WebLinkAboutMiscellaneous - 0 Phillips CommonLocation
46. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $ 9, z
Other Permit Fee $
$
Building inspector
Sewer Connection Fee
-bn
PAID 5y.woliop. Section Fee
TOTAL
Div. Public Works
oo��
4
-7�
Location-JWP�V" P ----
No. Date -7--'
40*Tpl
TOWN OF NORTH ANPOVER
Certificate of Occupancy $
Air
Building/Frame Permit Fee $
CHU 44
rev &
Fee $
d�M
ther Permit Fee $
SeweM*-ection Fee $
Water Con, ',, 61'(Vee $
1,4,t A
io�
$
/ 1; A7�
Building lnspect6r
Div. Public Works
T
�-^
Location t i' (A'-4 1
No. Date 1-2
NORTH TOWN OF NORTH ANDOVER
zaimraAMp Certificate of Occupancy $
4L I
• ; Building/Frame Permit Fee $
Foundation Permit Fee $
s+cMusE
Other Permit Fee $
P w^Yr t!mn Fee $ `�°
Water Connection Fee $ - .
IjTOIAX $ 6,0 a
No. Ali ow, C0111ed0l j Building Inspector
C,- 9, 7/1_7
Div. Public Works
<� U.? r
PERJiIT N0. 3 7 2 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. t" �J , AGE 1
"J
MAP 4-40.
LOT NO.
a
2 RECORD OF OWNERSHIP IDATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO.
I
CI
LOCATION
V c n-
7 `
PURPOSE OF BUILDING
OWNER'S NAME
1
NO. OF STORIES
SIZEPDA�UZ
OWNER'S ADDRESS
''
ASEMENT OR SLAB J•
ARCHITECT'S NAME,
SIZE OF FLOOR TIMBERS 1ST 2ND Z f Cjl o�D - -_
�/Y1
BUILDER'S NAME
hJ
SPAN1
DISTANCE TO NEAREST BUILDING i
io
DIMENSIONS OF SILLS
DISTANCE FROM STREET .'1
POSTS /o
II
DISTANCE FROM LOT LINES - SIDES
z
o
REAR lam„ r
"' GIRDERS
AREA OF LOT( �Z
(
FRONTAGE
j
HEIGHT OF FOUNDATION Q1 THICKNESS24
O lJ
IS BUILDING NEW / ( e-
``'
SIZE OF FOOTING 1 X
l
.IS BUILDING ADDITION
MATERIAL OF CHI M 'i
IS BUILDING ALTERATION
IS BUILDING O OLID R FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER -
BOARD OF APPEALS ACTION, IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS I. - 3
f
INSTRUCTIONS
PAGE 2 FILL OUT SECTIONS 1 - 12 LIE 2-4LE'lalM
® - /j�
s
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING / +j%//�~am
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS- -
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
FEE
PERMIT GRANN7TED
- d 1 19
PERMIT FOR FRAMUBUILDING
r
DAMP 4 FEE PAID'. 6 C)
dG �3
\ ^ l y�7
5`1f3.5
: -_k & -del
I)..can,
`
3 PROPERTY INFORMATION
LAND COST (J,,/) /
EST. BLDG. COST
EST. BLDG. COST PER 6Q. FT.
EST. BLDG. COST PER ROOM / '7i
oOo
SEPTIC PERMIT NO. L
4 APPROVED BY '
BOARD OF HEALTH
PLANNINd BOARD
I BOARD OF SELECTMEN
BUILDINd INSPECTOR
OCCUPANCY.._
SINGLE FAMILYx
STORIES
MULTI. FAMILY
_
iOFFIeES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
a 1 23
PINE 7—
CONCRETE
CONCRETE 131. K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY WALL
I UNFIN.
3 BASEMIl
AREA FULL FIN. B M'T' ARE'X,
FIN. ATTIC AREA
NO BMT
HEAD ROOM
FIRE PLACLS4,
MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS
DROP SIDING
WOOD SHINGLES
A
' `'t
B
7
2 3
CONCRETE
EARTH
ASPHALT SIDING
'11ARDVJ D
ASBESTOS SIDING
COMMON
ASPH. TILE
VERT. SIDING
STUCCO 6N MA OG*",-�
STUCCO (514 FIfAME
i
�Q
I
BRICK ON,_MXSUN7RY_,
BRICK ON FRAME'
ATTIC STIRS. & FLOOR
CONC. OR CINbE,
WIRING
STONE ON"AASQNRY.,' i
STONE ON 'FPAM- - -'
!
SUPERIOR 1;,� _POOR
IONE
ADEQUATE NONE
10 PLUMBING
5 ROOF
GABLE
HIP
BATH 13 FIX.)
GAMBREL
MANSARD
TOILET RM. 12 FIX.)
FLAT
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
FLOOR
_TILE
TILE DADO
.6 FRAMING
11 HEATING
WOOD JOIST
Je
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COILS.
STEAM
STEEL SMS. & COLS.
HOT W'T'R OR VAPOR_
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T*G
UNIT HEATERS
GAS
7 - NO. 011``ROOMS
OIL
B'M'TI 2nd 1�_�
tar�fT13,d
ELECTRIC
NO HEATING
B.0 I C 0 G RECORD
7'
12
jTHJS SECTION MUST SHOW EXACT'DI MEN SION S OF LOT AND DISTANCE FROM
iLOT LINES AND EXACT': DTWENS10 N!S-"OF '13-011LIJINGS. WITH .00116fES. GA-
RAGES, ETC. SUPEit1mp65ED...,THIS.FtkPli4CES PLOT PLAN .`
Y.TZ4 NOITAMM W 70�
As 24AAI
caw
I j I 6
Fit )NO _1
�171/.t/�QT/l�.t/ LdGAT/dt/ FEO/!�
14N /vs'TQtiir��,vT Srr e✓�
/87. 78
Z177— O`e3
=0.307,46.
62 Q4
1 N��EBY CECT/FY TO T.YE TITLE /NSU,PO:P q,VO/I='/- O T / C- /`� �v
TO 7,4'-" BONY T.S�gT T//EO�s'ELG/uG /S LOCATED O,(/
T/,/E L 07T ,4S .S//O/Y.t/ ANO 7W,,4T /T ODES SO (/FOPiY1 //4/
1,-"yl7w 7,4/E 'Tbze'/ OF NO. ,Q,vpo vE.-- 20Ni vG PEGvt ar/o is A/0.
/
.PEGA.QO/N!, SETBAC�t'S FZOM STPESTS - LOT " /VO . A1,00 YI57,e/ %�f� SS•
._ /-UPT.S�EP LEFT/FY T/!AT T///S O!s'ELL/N6 ISit/OT
LnCgTEO /N THE FEO``PAG FL000 51404,-0 APE4, O.PA�it/ /�O.P
SHawN 9
N�ros.l�
DaTD
Ty/S PLAN/ ,�r� oTE P�PPOSES -NOT FDP
BO!/,vO,Py' OETE.PY�I�.f%.�j-/O,✓. BO�,vo,4,ey /,r�,�O.Q�- �NE.P.P/�,9G� E.vGidEE,P�.(/G SE•Pv/lES
.47-10,VPeZ%:;e
A.vODYE�P, �Y/.4SS,4ls/vSETTS O/8/O
r
FORM U - IAT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having
have been obtained. This does not relieve the applcntand or jurisdiction
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT:D Phone - / 2
r
LOCATION: Assessor's Map Number Parcel
SubdivisionpS Lot(s)
street � ".,`(��S
"� St. Number
************************Official Use Only************************
RECOMMENDA ION OF TOWN AGENTS:
Conserva i n Administrator Date Approved
Date Rejected
Comments
e
Tovyn Plan er Date Approved
Date Rejected
Comments
H alth Agent Date Approved %l2 G Z--,
II ,, (r ��11 Date Rejected
&1u)1 -
Comments 110' 1AA1 l h A
Public Works - sewer/water connections
driveway permit 3e
Fire De artment � .lig--'-�!Abo e �/)- �--
Received by Building Inspector
/V
"Date
S
Vrl
0
�W4
ju
n
C
POOL
a
a
MI
m
0
IN
M,
°z
22
.v
m
z
0
3
A
M
�T9.
7
T
7
N
O
m
S
T
5.
d
<,
m
O
m
S
T
T
Z
O
�
j
O
f0
S
r
C
Z
O
A
3
_S
O
S
C
Z
O
�
W
T
t,
It
Qz�
W
14b
a
m
0
c
0
14
Noll
st
---ill
�J
fl.
I
1o►
1
C
4�O
m�� O
� Z
44 A
� O
1, D
TQ
a ` '9
a
_CM
r7. C
®o
�a y
C
CL
o �3
Cdr
00
C '
r c
o �
Pr rr CD
o
�
'*
�
' `
d 3 to
n C
CD
m � T
�D
� �
fA
T
�
'rum
-
A
n
v ii
ii
l `B
w
u
F
W FJ-
F—
FJ-
rj
Tj
FA•
PIV 0
m 0
rr Z
(D
O
V
C
jo
0
m
m
11
91